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2017 EXPAT BENEFITS
GUIDE
9
MEDICAL PLAN CONTRIBUTION RATES
The following chart shows the 2017 monthly contributions for medical coverage. Remember,
your contributions for medical coverage are deducted from your pay on a pre-tax basis.
Aetna International Program — Medical Coverage
Your
Contributions
Company
Contributions
Total
Employee Only
$ 155.15
$ 675.92
$ 831.07
Employee + Spouse
$ 349.65
$1,478.70
$1,828.35
Employee + Child(ren)
$ 300.99
$1,278.05
$1,579.04
Employee + Family
$ 418.90
$2,198.96
$2,617.86
AETNA INTERNATIONAL DENTAL PLAN SUMMARY
AETNA INTERNATIONAL — Dental Benefits
General Information
Deductible
$50/Employee Only
$100/Employee + Spouse
$150/Employee + Child(ren)
$150/Employee + Family
Plan year maximum
$1,750/person
For the following treatments and services, the Aetna International program pays:
Covered Services
Diagnostic and preventive care
100% with no deductible
Basic services
80% after deductible
Major services
50% after deductible
Orthodontia
•
Adults
•
Children
•
Lifetime Maximum
50% with no deductible
50% with no deductible
$1,750